Organization
THE DEVEREUX FOUNDATION
Active
Other names
Devereux Texas Treatment Network
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA E. REED (EXECUTIVE DIRECTOR)
(281) 316-5433
Entity
Organization
Contact information
Practice address
1150 DEVEREUX DR, LEAGUE CITY, TX 77573-2043
(281) 316-5433
(281) 554-7447
Mailing address
1150 DEVEREUX DR, LEAGUE CITY, TX 77573-2043
(281) 316-5433
(281) 554-7447
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
000718
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021214401
—
TX
01
—
454085
MEDICARE PTAN
TX
Enumeration date
09/09/2016
Last updated
09/09/2016
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